Managing Menstrual Delays with Contraceptive Pills: A Guide for Travelers - Obstetrics and Gynecology

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Emergency contraceptive pills and menstrual issues?


I will be traveling abroad from February 24 to March 1 and would like to avoid my menstrual period during that time.
Therefore, I visited a gynecologist to obtain medication to delay my period.
The doctor advised me to delay my period this month so that I wouldn't have it next month.
On January 20, I was on day 18 of taking the contraceptive pill, Priliane, and I will finish a 21-day cycle in three days.
After completing Priliane, I will take the period delay medication for 8 days, which means I will finish the delay medication by January 31.

Assuming my period starts on February 2 after finishing the delay medication, I would then take Priliane again on the first day of my period (as instructed by the doctor).
This means I would finish the February pack of Priliane by February 23, which would coincide with the start of my period while I am traveling.

Could you please advise on how to adjust my medication schedule to effectively delay my period? It seems that I am not achieving the desired delay.
Additionally, if I am traveling to a location with a time difference, how should I take Priliane? Thank you.

F, 20~29 year old female. Ask Date: 2020/01/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, taking birth control pills on the fifth day of your menstrual cycle next month can help you avoid pregnancy.
Wishing you good health!

Reply Date: 2020/01/20

More Info


Managing menstrual delays while traveling can be a concern for many women, especially when planning trips that coincide with their menstrual cycle. In your case, it seems you are trying to adjust your cycle using contraceptive pills to avoid having your period during your trip from February 24 to March 1. Here’s a comprehensive guide on how to manage this situation effectively.


Understanding Your Current Medication
You mentioned that you are currently taking a contraceptive pill called "祈麗安" (likely a brand name for a combined oral contraceptive pill). This pill typically works by preventing ovulation and regulating your menstrual cycle. You also have a prescription for a medication to delay your period, which you plan to take for eight days.


Timing Your Medications
1. Delay Your Period: To effectively delay your period, you should start taking the period-delay medication as prescribed by your doctor. If you take this medication until January 31, your period may be expected to start shortly after stopping it.
2. Start Your Contraceptive Pill: According to your plan, you would start taking "祈麗安" on the first day of your period. If your period starts on February 2, you would begin taking "祈麗安" then. However, if your goal is to avoid your period during your trip, you might want to consider starting the next pack of "祈麗安" immediately after finishing the previous pack, without taking the placebo pills (if applicable). This is known as "continuous use" of the pill and can effectively skip your period.

3. Adjusting for Travel: If you are traveling to a different time zone, it’s important to take your pill at the same time each day, regardless of the local time. You can adjust your schedule gradually before your trip to minimize the impact of the time change. For example, if you normally take your pill at 8 PM local time, and you are traveling to a time zone that is 8 hours ahead, you might start taking your pill earlier each day leading up to your trip.


Recommendations
- Consult Your Doctor: Before making any changes to your medication regimen, it’s crucial to consult with your healthcare provider. They can provide personalized advice based on your health history and the specific medications you are taking.

- Consider Side Effects: Be aware that altering your pill schedule can lead to side effects such as breakthrough bleeding or hormonal imbalances. Monitor your body’s response and be prepared to manage any unexpected symptoms.

- Plan for Your Trip: If you are concerned about your period starting unexpectedly during your trip, consider packing menstrual products just in case. Additionally, having a backup plan for managing menstrual symptoms (like pain relievers) can help you feel more prepared.


Conclusion
In summary, to effectively manage your menstrual cycle around your travel dates, consider starting your next pack of "祈麗安" immediately after finishing the previous one to skip your period. Ensure you take your pills consistently, especially when traveling across time zones. Always consult with your healthcare provider for tailored advice and to ensure that your approach is safe and effective. Enjoy your trip and stay healthy!

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